摘要
目的 :探讨非体外循环下的冠状动脉搭桥术临床效果。方法 :对 1999年 1月到 2 0 0 1年 6月 ,在我院接受微创非体外循环冠状动脉搭桥术临床效果进行分析。本组男性 16例 ,女性 8例 ,年龄 4 9～ 73岁 (平均 6 2岁 ) ,单支血管病变 2例 ,双支血管病变 7例 ,三支血管病变 15例 ,其中左主干病变 4例。术前 13例患者心电图有ST段下移、心肌供血不足表现。采用前胸正中切口 ,应用CTS血管固定器 ,搭桥 1～ 4 (平均 2 6 )根 ,应用左胸廓内动脉 11例 ,桡动脉 6例。结果 :除 1例患者发生围手术期心梗外 ,无一例死亡。平均辅助呼吸时间 (5 6± 3 9)小时 ,平均ICU时间 (4 3± 1 6 )天 ,12例 (5 0 % )未输血 ,平均输血量为330ml,术后平均住院 (2 1 7± 7 3)天。随访平均 16个月。所有患者心绞痛症状消失 ,心肌供血明显改善 ,心功能恢复满意 ,活动量增加 ,生活质量明显提高。结论 :非体外循环下的冠状动脉搭桥术 ,经济、安全可行 ,值得推广应用 ,尤其是经济不发达地区更易被患者接受 。
Objective:To investigate the clinical results of off-pump coronary artery bypass grafting at our hospital Methods:Between january 1999 and june 2001,24 consecutive patients underwent off-pump coronary artery bypass grafting(CABG) The age ranged 49～73 years with a mean of 62 years Of them,15 patients had three-vessel disease,7 patients had two-vessel disease,and 2 patients had single-vessel disease All procedures were completed through medial sternotomy Stabilizers of CTS was applied The average graft was 2 6 per case. Results: All patients survived were followed up The average auxiliary time of respirator and ICU were(5 6±3 9) hours and (4 3±1 6) days respectively The average hospital stay was (21 7±7 3) days 12 (50%) patients need no blood transfusion All survived patients had no symptoms of angina during the short-term follow-up (2 to 23 months) Conclusion:Off-pump CABG is a economic and safe technique for selective patients with multi-vessel coronary artery disease and early results is satisfactory
出处
《广西医学》
CAS
2002年第9期1347-1348,共2页
Guangxi Medical Journal
关键词
冠状动脉搭桥术
非体外循环
冠心病
Coronary artery bypass grafting
Off-pump
Coronary artery disease
